5/22/2021 Application Number

Application Reference Slip

: KALIYAMOORTHY
Application No : 1689646421 Name
SARANGAPANI
Application Date of
: 22-05-2021 : 02-02-1970
Date Birth
Father : RAJAMANIKKAM
Blood Group : O+
Name KALIYAMOORTHY
Applicant
: Male
Gender
Services Requested Documentary Proof Required
• Age Proof
• Address Proof (Present)
1. Issue of New LL Application ( MCWG , LMV )
• Form1 (Self Declaration)
• Medical Certificate-Form1A

An SMS has been sent to your registered mobile Number : ******7177 .

Note 1: Applicant should take print out of the Application Form (pre filled) and duly signed with all
required Documents to the concerned RTO / RLA office.
2: The online facility of application submission, upload documents, payment of fees, slot booking etc.,
does not complete the process of issue of Driving Licence or any other Service requested. The applicant has
to compulsorily visit the concerned Road Transport Office to finish the process of issue of Driving Licence
and/or any other associated services.
3: Applicants are requested to note that after completion of all stages mentioned under `Applicant
Stages’, the applicant has to visit the concerned Road Transport Office on the scheduled date of appointment,
along with the necessary documents to complete the remaining process (or) In cases where online slot
booking facility is not available for any particular RTO, the applicant has to go to the concerned Road
Transport Office at the earliest along with the necessary documents, to complete the remaining process.

For any reference visit: https://sarathi.parivahan.gov.in/sarathiservice

Applicant Address : RTO Location :

2/89 SOUTH STREET ALATHIPALLAM RTO, ARIYALUR

Kundaveli (West) ,TRICHY ARIYALUR MAIN ROAD
Pincode : 612903 KEELAPALUR,Ã Â
ARIYALUR
PinCode: 621704

Phone: 04329-228004

https://sarathi.parivahan.gov.in/sarathiservice/printAck.do?type=ack 1/1